摘要
目的:观察中药配合耳压对高血压患者的临床疗效。方法:选取210例Ⅰ、Ⅱ级高血压病肝火亢盛证患者,将其随机分为A、B、C 3组,A组:建康教育;B组:健康教育+耳穴贴压;C组:健康教育+耳穴贴压+中药"菊明颗粒"。疗程为8周。观察治疗前后的中医症状和血压变化。结果:症状疗效比较:A组显效7例,有效18例,无效45例,总有效率35.71%;B组显效10例,有效31例,无效29例,总有效率58.57%;C组显效14例,有效38例,无效18例,总有效率74.92%;在改善临床症状的疗效依次为:C组>B组>A组,有显著性差异(P<0.05)。血压疗效比较:A组显效3例,有效29例,无效38例,总有效率45.71%;B组显效7例,有效33例,无效30人例,总有效率57.14%;C组显效9例,有效36例,无效25例,总有效率64.29%;降低血压的疗效依次为:C组>B组>A组,有显著性差异(P<0.05)。SF-36生活质量各维度总积分:C组组内比较,干预前后生理机能(PF)、精神健康(MH)、精力(VT)、一般健康状况(GH)方面均P>0.05,未见统计学差异;生理职能(RP)、情感职能(RE)、躯体疼痛(BP)、社会功能(SF)方面均P<0.05,具有显著统计学差异;B组干预前后情感职能(RE)、躯体疼痛(BP)、社会功能(SF)方面均P<0.05,具有显著统计学差异,生理机能(PF)、生理职能(RP)、精神健康(MH)等方面均P>0.05,未见统计学差异;A组干预前后情感职能(RE)P<0.05,具有显著统计学差异,生理机能(PF)、精神健康(MH)等方面均P>0.05,未见统计学差异。结论:中药配合耳压能明显改善高血压病肝火亢盛证患者的血压、症状,提高生活质量,值得临床广泛应用。
Objective：To observe the clinical efficacy of traditional Chinese medicine with auricular pressure in hypertensive patients. Methods ：210 cases of Ⅰ,Ⅱ stage hyperactivity and liver yang hyperactivity syndrome patients were randomly divided into A, B, C three groups, Group A ： health education; group B ： health education and auricular acupressure ; group C ： health education and auricular pressure and medicine Juming Granule treatment for eight weeks. TCM symptoms and blood pressure changes were observed before and after treatment. Results：Comparison of efficacy symptoms： group A seven cases were cured, effective 18 ca- ses, invalid 45 cases,the total efficiency was 35.72% ;group B effective 10 cases,31 were valid, invalid 29 cases, the total effi- ciency was 58.58% ;group C cured 14 cases,effective 37 cases,invalid 18 cases, the total efficiency was 73.92% ;efficacy in im- proving clinical symptoms was as follows ： group C 〉 group B 〉 group A, there was a significant difference （ P 〈 0.05 ）. Compari- son of efficacy of blood pressure： A group three cases were cured, effective 29 cases,38 were invalid, the total efficiency was 45. 73% ;group B markedly 7, effective 33 cases ,30 were invalid, the total efficiency was 57.14% ;group C markedly 9 cases, effec- tive 36 cases, ineffective 24 cases, the total efficiency was 65.22% ; reducing blood pressure effect was ： group C 〉 Group B 〉 group A, there was a significant difference （ P 〈 0. 05 ）. The total score of life quality in all dimensions was Compared ：C group, before comprehensive intervention quality of life general integral, physiological function （PF）, mental health （MH）, energy （VT）, gen- eral health status （GH） P 〉 0.05 with no significant difference （RP） ; physiological function, emotional function （ RE ）, bodily pain, social function （BP） （SF） were P 〈 0. 05 with significant difference ; B group intervention emotional functions （ RE）, bodily pain （BP） ,social function （SF） were P 〈 0. 05 with significant difference （PF） ; physiological function physiological function（RP） ,mental health （MH） were P 〉 0. 05 with no significant difference;A group before and after the intervention emotional functions （RE） P 〈 0. 05 with significant differences, physiological function （ PF）, mental health （MH） were P 〉 0. 05 with no significant difference. Conclusion ： Medicine with ear pressure can significantly relieve blood pressure, symptoms, quality of life and is worthy of wider application.
出处
《辽宁中医杂志》
CAS
北大核心
2015年第6期1231-1234,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
辽宁省科学技术计划项目(2010225034)
关键词
中药
耳压
高血压
临床疗效
Chinese medicine
auricular pressure
hypertension
clinical efficacy
